CN-370000-LE680-5I-61925.pdf

This is a Work Authorization Form (WAF) issued by the Florida Department of Environmental Protection, Office of Emergency Response, dated November 28, 2018. The document authorizes work under Contract LE 860 with SWS ES, with representatives Jesse Hixon and Nick Soucy. The work is being performed at the Town of Noma Well 2 site in Bonifay, Holmes County, Florida, in response to DEP Incident #OMIT 2018-51-61525 regarding Hurricane Michael on October 10, 2018.

The work authorization covers soil removal and sampling services related to the cleanup of 50 gallons of diesel from a generator. The scope includes field chemist evaluation, equipment operation, and confirmatory sampling conducted by contractor personnel, utilizing a response truck, straight truck, backhoe, visqueen, roll-off containers, vapor detector, and work clothes as personal protective equipment. The work is assigned as fixed price with a not-to-exceed estimate amount of $18,000, funded through Organization Code 3109 with Object Code 1399.00 and Fund 099001. The authorization requires contractor services to be arranged via the contracted entity, with analytical and disposal arrangements to be handled by the contractor.